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Search › Utah › 2255A2300X

Shelly Head, ATC

NPI 1154797330 · on the registry since 2015 · sole proprietor

Practice

Address
3725 W 4100 S
West Valley City, UT 84120
Phone
(801) 679-0123
Organisation at this address
Vamos Health Ut
Granger Pharmacy
West Valley Eye Llc
Granger Optical Llc
Genesis Dental Of Granger
Inferred from a shared address, not stated in the registry.
Clinicians at this address
82

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-08-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah